Grodi, Jill J
Grodi, Jill J is an sole proprietor health care provider with primary practice located at 750 S Monroe St , Monroe MI 48161-1433. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Grodi, Jill J can be contacted via phone (734) 639-2262.Contact Information
Primary practice address
750 S Monroe St
Monroe MI 48161-1433
Phone: (734) 639-2262
Fax: (734) 264-4114
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301012093 | Michigan |
Profile Details
NPI number | 1245454560 |
---|---|
LBN Legal business name | Grodi, Jill J |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 11th, 2007 |
Last updated | Mar 29th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245454560 | NPPES |
Michigan | Other | 0E81072 | BCBS |
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